Religious Education Registration Form 2024-2025 - The Unitarian Universalist Congregation at Shelter Rock (UUCSR)

Your name *

Email address *

Phone number *

Name of Child/Youth Registrant *

Grade for 2024-2025 *

What brings this child/youth joy? (Hobbies and Interests)

Would your child/youth like to participate in:

Young People's Choir

Jazz Ensemble

Does this child/youth have any allergies? *

Is there any family information we should be aware of?

Please tell us any information about how to help your child/youth flourish in the classroom:

(This information may be shared with RE volunteer teachers)

Dietary Preferences: *

Omnivore

Vegetarian

Vegan

Nut Allergy

Gluten Free

Other

Add another child/youth registrant

Are you a Shelter Rock Member? *

Yes

Address *

Household members

(Add any other Adults in the household or family)

I would like the following contact information included in a directory that will be available to other families enrolled in Religious Education

E-mail

Phone number

Mailing address

Religious Education Parent/Caregiver Volunteer Commitment *

We are a co-operative Religious Education community. Upon registering my child(ren)/youth, I am committing to support the program with my time, talent, and treasure.

Here are some ways you can volunteer. You are expected to sign up and volunteer for at least one of the following. Your generous participation strengthens our program!
(Please select all that apply to you, the parent/caregiver)

RE Teacher (I'm a current volunteer)

RE Teacher (I'm interested in volunteering)

Youth Program Volunteer

RE Committee (I'm a current member)

RE Committee (I'm interested in joining)

Classroom Support (assisting lead RE Teachers)

Class Parent

Party/Event Support (Halloween, Holiday crafts, Bridging Picnic, etc)

Chalice Lighting during Worship

RE Welcome Desk Greeter

I’m not sure yet—please contact me to go over the volunteer options

This is my family's first time registering for Religious Education at Shelter Rock

Do you grant permission of photo/video release of those registered here? *

If you select "Yes," you agree to the following statement:
I grant permission for UUCSR to use photos, videos or audio recordings of my children and family, taken during worship services and other congregational events, for publicity and promotion of UUCSR, including but not limited to Religious Education activities. I understand that these photos, videos or audio recordings may be used in various media, including but not limited to UUCSR's website and related social media platforms such as Facebook, YouTube, Twitter and Instagram. I understand there will be no remuneration for such use.

I understand that I must remain at the congregation while my child(ren) (6th Grade and under) participate in Religious Education. *

Yes

All of my children are 7th grade or higher.

I authorize the representative of the Unitarian Universalist Congregation at Shelter Rock to obtain emergency medical treatment, if necessary, during a Religious Education sponsored activity. *